Tuesday, 19 June 2012

Cerebral Palsy - Management

Cerebral palsy is a non-progressive neurological disorder that affects the motor system of the child. The motor system controls the movement, muscle tone, motor skills and the fluidity of the movement of the entire body. As the name implies the non-progressive disorder doesn’t make any further injury to the brain and it is one time insult to the brain. But the one time injury makes developmental impairments with the child.

TREATMENT:

Rehabilitation team, which consists of, Physician, Surgeon, Physical therapist, Occupational therapist, Speech pathologist, Nursing care, educators and social workers should take responsibility to take care of CP children. Physician – developmental Pediatrician should evaluate and prescribe things on the physical , functional and behavioral ailments that are necessary for the development of the child.
 
Physical therapy: Physical therapy plays a vital role in the management of cerebral palsy. Therapy helps to normalize the muscle tone and there by brings the movement control, coordination, balance and skill. It mainly works to improve the gross motor skills such as sitting, standing, walking, balancing etc. Special techniques such as neurodevelopmental therapy, sensory integration etc., will be used to break the movement dysfunction. Therapist also helps to fine out the proper assisting aid for mobility.
 
Occupational therapy: This deals with the sensory- perceptual system, fine motor control and ADL (Activities of daily Life). Fine hand activities such as holding a pen, threading a needle, playing instruments etc., through which this also influences the cognition of the child. This therapy helps in handling objects, writing, vocational training to the children. An occupational therapist helps to structure the supporting and assistive aids in accordance with the impairments of the children.
 
Surgery: When the deformity and the contractures become so bad and movement is much difficult, the child will go for a surgery to lengthen the muscle and to correct the bony misalignments. This in turn followed by the therapies to gain the range and the function.
 
Speech pathologist: Due to the developmental delay, the speech and articulation of the child will be little difficult and there will be drooling of saliva from the mouth. The speech pathologist helps the child in the training of swallowing, articulation and speech training.
 
Others such as community nurses, special educators, psychologist all help in the physical and the mental betterment of the child. But the early recognition and the treatment will help the child in many ways and keep them motivated and functionally independent.

Thursday, 24 May 2012

Look at the Heels on your Shoes

You may not think about your feet that often, way down there at the ends of your legs, but they're an essential part of almost everything you do. Whether walking, running, exercising, or just standing, having feet that are comfortable and well-cared for (rather than aching or in pain) makes the experience must more pleasant. 
  
Wearing heels make look women tall and comfortable but it also imposes stress on the body and gives more pain. It completely alters the the pattern of pressure that is being put upon the feet. Usually body weight from the legs shifted to the fore foot on normal walking. But when you wear heels the pressure is concentrated on the ball of your toes and makes difficulty walking pattern.

When you wear heels the toes are encroached in toe box of your shoes and it causes discomfort all over the foot. The hazards are not only over the feet but it extends all over the body. On the feet the person will develop Hammer toes, Bunions, Stress fractures, Ingrowing nails, Morton's Neuroma and solemnly the result will depict as foot pain during walking. The effects above the foot are sprains and strains at the ankle, Tightness of the calf muscles (tendo achilles) and strain to the knee joint as well. The total posture has been altered and there is an increase at the lumbar arch and induces a low back pain.

The height if the heel will alter the pressure on the fore feet, when the heel is at 1''- the stress will be 22%, at 2''- 57%, at 3'' – 76%. It also increases the pressure by 26%over the knee cap.

If you ask, Does heel alone gives pain on the feet? The answer will be -NO. Even the complete flats also impose strain on the foot. With Complete flats or ballet shoes, the body weight over the foot stretches the muscles on the foot and collapses the arch. It also imposes the foot into pronation and over stretches the deep calf muscles.

So the ideal shoes that should have a heel height of less than an inch will keep the arch intact and prevent us from being suffer with lots of aches and pain in the body.

For Further Information, Contact:
Ms. P. Pughana Ambhigai B.P.T, M.P.T, Physiotherapist, Kauvery hospital, Chennai. 044 4000 6000

Wednesday, 23 May 2012

Dengue Fever Alert!

Suspect dengue when a high fever (40°C/ 104°F) is accompanied by two of the following symptoms:

  • Severe headache
  • Pain behind the eyes
  • Nausea, Vomiting
  • Swollen glands
  • Muscle and joint pains
  • Rash
Severe dengue is a potentially deadly complication due to plasma leaking, fluid accumulation, respiratory distress, severe bleeding, or organ impairment. The warning signs to look out for occur 3-7 days after the first symptoms in conjunction with a decrease in temperature (below 38°C/ 100°F) include:

  • Severe abdominal pain
  • Persistent vomiting
  • Rapid breathing
  • Bleeding gums
  • Blood in vomit
  • Fatigue, restlessness
Treatment:
 

Being a virus, antibiotics are not effective against Dengue. Patients should seek medical advice, take rest and drink plenty of fluids. Paracetamol can be taken to bring down fever and reduce joint pains. However, aspirin or ibuprofen should not be taken since they can increase the risk of bleeding.
For severe dengue, medical care by doctors can frequently save lives. Maintenance of the patient's circulating fluid volume is critical.

 

Contact Kauvery Hospital, Chennai at 044 4000 6000 if you suspect having Dengue Fever.

The Role of the Anaesthesiologist — from Surgical Anaesthesia to Critical Care Medicine and Pain Medicine

Care of the Surgical Patient

The anaesthesiologist is the perioperative physician (“peri-” meaning “all-around”) providing medical care to each patient through his or her surgical experience.

This includes medically evaluating the patient before surgery (preoperative), consulting with the surgical team, providing pain control and supporting life functions during surgery (intraoperative), supervising care after surgery (postoperative) discharging the patient from the recovery unit.

Critical Care and Trauma Medicine

Anaesthesiologists are uniquely qualified to coordinate the care of patients in the intensive care unit because of their extensive training in clinical physiology/pharmacology and resuscitation. Some anaesthesiologists pursue advanced fellowship training to subspecialize in critical care medicine. In the intensive care unit, they direct the complete medical care for the sickest patients. The role of the anaesthesiologist in this setting includes the provision of medical assessment and diagnosis, respiratory and cardiovascular support, and infection control.

Anaesthesiologists also possess the medical knowledge and technical expertise to deal with many emergency and trauma situations. They provide airway management, cardiac and pulmonary resuscitation, advanced life support and pain control. As consultants, they play an active role in stabilizing and preparing the patient for emergency surgery.

Pain Medicine

Because of their specialty training and vast experience in controlling pain during surgery, anaesthesiologists are uniquely qualified to prescribe and administer drug therapies or perform special techniques for acute, chronic and cancer pain. Here are two of the most common areas in which anaesthesiologists treat pain:

Acute Pain Management

Includes preoperative pain relief in trauma,postoperative pain relief,labour analgesia i.e painless labour.

Chronic and Cancer Pain Management

Anaesthesiologists are the vanguard of those who are developing new therapies for chronic pain syndromes and cancer-related pain. Anaesthesiologists who specialize in the treatment of chronic pain often dedicate their practices exclusively to a multidisciplinary approach to pain medicine, working collaboratively with other medical specialists in a pain clinic. 

Tuesday, 22 May 2012

Dental Implants

Dental implants are substitutes for the roots of missing teeth. They act as an anchor for a replacement tooth or crown or a set of replacement teeth.
Implant patients are of all ages and implants may be the right choice for anyone missing one or more teeth due to injury, disease or decay. They are especially practical for patients who can no longer wear removable dentures.
                      
ADVANTAGES OVER  CONVENTIONAL DENTURES:

  • Improved appearance.
Dental implants look and feel like your own teeth. And because they are designed to fuse with bone, they become permanent.
  • Improved speech.
With poor-fitting dentures, the teeth can slip within the mouth causing you to mumble or slur your words. Dental implants allow you to speak without the worry that teeth might slip.
  • Improved comfort.
Because they become part of you, implants eliminate the discomfort of removable dentures.
  • Easier eating.
Sliding dentures can make chewing difficult. Dental implants function like your own teeth, allowing you to eat your favorite foods with confidence and without pain.
  • Improved self-esteem.
Dental implants can give you back your smile and help you feel better about yourself.
  • Improved oral health.
Dental implants don't require reducing other teeth, as a tooth-supported bridge does. Because nearby teeth are not altered to support the implant, more of your own teeth are left intact, improving long-term oral health. Individual implants also allow easier access between teeth, improving oral hygiene.
  • Durability.
Implants are very durable and will last many years. With good care, many implants last a lifetime.
  • Convenience.
Removable dentures are just that; removable. Dental implants eliminate the embarrassing inconvenience of removing dentures, as well as the need for messy adhesives to keep them in place.

Dr. Santa, Dental Surgeon, Kauvery Hospital, Chennai
Ph: 044 4000 6000

Monday, 21 May 2012

Concurrent Disorders

Frequently Asked Questions:

What Is Concurrent Disorder?
Alcohol, Substances or process Addictions’ (gambling, internet, texting, video games,  pornography, etc) co-occurring with any one or many of the mental, emotional or psychiatric illnesses is called Concurrent disorders.

Who is a Patient Suffering from Concurrent Disorder?
A person addicted to Alcohol, drugs’ or any process addiction suffering from a  psychiatric illness is a concurrent disorder patient in the Mental Health and Addiction  treatment community.

How Do You Recognize A Concurrent Disorder Patient?
This is a person who uses drugs or alcohol, has a history of treatment for addictions, tries to stop using drugs or drinking or gambling but unable to do so, and relapse is extremely common.

Why Concurrent Disorder Treatment?
A patient suffering from concurrent disorders usually has problems related to his / her  Addiction or Mental Illness. By the time they show up for treatment – they have incurred  major losses w. r. t. family, friends, health, money, and jobs. Treating the patient and     helping him or her in the healing journey will help that individual and also the family.          

What Is Treatment For Concurrent Disorders?
Treatment for concurrent disorder is multifold. It will include medical management of  symptoms, individual counseling, and support, teaching the patient life skills, educating the patient about their illness and medications and family support.

Our services include Intake, Assessment and treatment. We will assess the patient, and post assessment treatment will be planned. Other medical services, internal referrals to specialists as per patient need, lab services, medication management, information and education re: resources will be provided. We will include family in treatment due to the unique treatment needs of the concurrent disorder patients.

Dr. Kamali. R. SampathKumar., M.B.B.S. (KMC, Mangalore), Dip. In ADTP (Canada) is a Consultant in Behavioural Disorders specializing in Concurrent Disorders at Kauvery Hospital Chennai. She can be contacted at 730588705 / 9952001587.  Email: drkamali@kauveryhospital.com
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